Individual
MR. GEORGE M VAUGHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CO, LO
Contact information
Practice address
2368 VICTORY PKWY, SUITE 100, CINCINNATI, OH 45206-2859
(513) 751-6722
(513) 861-6722
Mailing address
2368 VICTORY PKWY, SUITE 100, CINCINNATI, OH 45206-2859
(513) 751-6722
(513) 861-6722
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1912324534
OPCC NPI
OH
Enumeration date
12/11/2013
Last updated
05/15/2014
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